BENJAMIN ALAN BOUDREAU

LANCASTER, CA
NPI1568993020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1223910316)
Enumeration Date2017-03-24
Last Update Date2017-03-24
Business Address
Mr. BENJAMIN ALAN BOUDREAU RADT I
44447 10TH ST W
LANCASTER, CA 93534-3324
Phone number: 661-726-2630
Mailing Address
Mr. BENJAMIN ALAN BOUDREAU RADT I
2225 W AVENUE K10
LANCASTER, CA 93536-4602
Phone number: 805-559-3502